Emergency general surgery models in Australia: A cross-sectional study

Abstract Objectives: To determine the incidence of complications in elective surgeries and to grade them according to the Clavien-Dindo Classification System. Method: The cross-sectional study was conducted in the General Surgery Operation Theatre of Holy Family Hospital, Rawalpindi, Pakistan, from February to April 2018, and comprised patients undergoing elective surgeries. Age, gender, region of surgery, type and grade of complications, were recorded using Clavien-Dindo Classification proforma. Data was analysed using SPSS 23. Results: Of the total 212 patients, 36(16.9%) had some complication. There were significantly more complications in people aged 40 years or above compared to those <40 years (p<0.05). Of the total surgeries, 126(59.43%) were in the abdomino-pelvic region. Conclusion: Peri-operative complications were found to be significantly related with age of the patient and the type of surgery. Key Words: Classification, Peri-operative procedures, Continuous...

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General surgery resident’s perspective towards general surgery residency in Pakistan and allotment of surgical cases to them: a cross sectional study

International Surgery Journal ◽

10.18203/2349-2902.isj20211909 ◽

2021 ◽

Author(s):

Ahmed Siddique Ammar ◽

Syed Asghar Naqi ◽

Zahra Sattar ◽

Farwa Inayat ◽

Ali Hadi ◽

...

Keyword(s):

Surgical Procedures ◽

General Surgery ◽

Gender Discrimination ◽

Tertiary Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

General Surgery Residency ◽

Surgical Residents ◽

Operative Care

Background: General surgery residency is considered a stressful field with residents facing many problems including learning operative procedures, competition with fellow colleagues, gender discrimination and balancing their marital and family life.Methods: A cross-sectional study was conducted using a self-structured questionnaire, containing questions about perspective of general surgical residents about residency structure and problems in Pakistan and about allotment of surgical procedures to them. A total of 1624 general surgical residents were conveniently enrolled in this study from different tertiary care hospitals of Pakistan.Results: Mean age of residents was 29 years (range 24-35 years).70.44% of residents were male while 29.55% were female. Majority of the residents were from 2nd year residency (30.66%). 889 (54.7%) of the residents thought that the general surgery residency had put negative effects on their family and marital life while 1365 (84%) stated that they suffered from anxiety depression sleep deprivation at some time during the residency (p<0.01). 864 (53.2%) residents disagreed that surgical procedures are allotted according to the year of residency.901 (55.4%) residents were not sure that buttering their seniors will get them more cases. 887 (54.6%) were unsure about gender discrimination in the general surgery (p<0.01).Conclusions: Gender discrimination in general surgery is now obsolete. Main factor in the allotment of operative procedure is the responsible behaviour of the resident, past operative records and level of pre-and post-operative care of the patients. Grid system should be adopted for the allotment of surgical procedures.

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Emergency general surgery models in Australia: a cross-sectional study

Australian Health Review ◽

10.1071/ah19260 ◽

2020 ◽

Vol 44 (6) ◽

pp. 952

Author(s):

Ned Kinnear ◽

Jennie Han ◽

Minh Tran ◽

Matheesha Herath ◽

Samantha Jolly ◽

...

Keyword(s):

Hybrid Model ◽

General Surgery ◽

Peer Group ◽

Cross Sectional Study ◽

Public Hospitals ◽

Sectional Study ◽

Cross Sectional ◽

Trauma Service ◽

Patient Load ◽

After Hours

ObjectiveEmergency general surgery (EGS) patients experience superior outcomes when cared for within an acute surgical unit (ASU) model. EGS structures in most Australian hospitals remain unknown. This study aimed to describe the national spectrum of EGS models. MethodsA cross-sectional study was performed of all Australian public hospitals of medium or greater peer group (>2000 patient separations per annum). The primary outcome was the incidence of each EGS model. Secondary outcomes were the relationship of the EGS model to objective hospital variables, and qualitative reasons for the choice of model. ResultsOf the 120 eligible hospitals, 119 (99%) participated. Sixty-four hospitals reported using an ASU (28%) or hybrid EGS model (26%), whereas the remaining 55 (46%) used a traditional model. ASU implementation was significantly more common among hospitals of greater peer group, bed number, surgeon pool and trauma service sophistication. Leading drivers for ASU commencement were aims to improve patient care and decrease after-hours operating, whereas common barriers against uptake were insufficient EGS patient load or surgeon on-call pool. ConclusionsASU or hybrid models of care may be more widespread than currently reported. The introduction of such structures is heavily dependent on hospital and staff size, trauma subspecialisation and EGS patient throughput. What is known about the topic?Traditionally, general surgical staff were rostered to elective operating and clinic duties, with emergency patients managed on an ad hoc basis. An ASU model, with a surgeon dedicated to EGS patients, has been associated with superior outcomes. However, the Australian uptake of this model is unknown. What does this paper add?This study enrolled 119 of 120 (99%) Australian public hospitals of medium or greater peer group (>2000 patient separations per annum). Uptake of the ASU or hybrid model was more widespread than expected, existing in 64 of 119 (54%) centres. Factors for and against ASU implementation were also assessed. What are the implications for practitioners?Hospitals considering implementing an ASU or hybrid model will be reassured by the common reports of improved patient outcomes and decreased after-hours operating. However, potential hospitals must assess the suitability of the ASU model to their surgeon pool and EGS patient load.

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Impact of the COVID-19 pandemic on general surgery residency program in Peru: A cross-sectional study

Annals of Medicine and Surgery ◽

10.1016/j.amsu.2020.10.031 ◽

2020 ◽

Vol 60 ◽

pp. 130-134 ◽

Cited By ~ 1

Author(s):

Medalit E. Huamanchumo-Suyon ◽

Diego Urrunaga-Pastor ◽

Pedro J. Ruiz-Perez ◽

Paola K. Rodrigo-Gallardo ◽

Carlos J. Toro-Huamanchumo

Keyword(s):

General Surgery ◽

Residency Program ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

General Surgery Residency ◽

Surgery Residency Program

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Global Surgery Opportunities in Canadian General Surgery Residencies: A Cross-Sectional Study

Journal of Surgical Education ◽

10.1016/j.jsurg.2020.03.026 ◽

2020 ◽

Vol 77 (5) ◽

pp. 1186-1193

Author(s):

Betel Yibrehu ◽

Ramya Kancherla ◽

Georges Azzie

Keyword(s):

General Surgery ◽

Cross Sectional Study ◽

Global Surgery ◽

Sectional Study ◽

Cross Sectional

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Nursing diagnoses in adults and elderlies in the preoperative period: a comparative study

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0959 ◽

2019 ◽

Vol 72 (suppl 2) ◽

pp. 56-63

Author(s):

Luana Barbosa dos Santos Monteiro ◽

Priscilla Alfradique de Souza ◽

Priscila Francisca Almeida ◽

Graziele Ribeiro Bitencourt ◽

Cintia Silva Fassarella

Keyword(s):

General Surgery ◽

Surgical Care ◽

Cross Sectional Study ◽

P Value ◽

Preoperative Period ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Surgical Recovery ◽

Nursing Diagnoses

ABSTRACT Objective: Analyze the nursing diagnoses of NANDA-I Taxonomy in hospitalized adults and elderlies in preoperative of general surgery and proctology. Method: cross-sectional study, exploratory, quantitative approach, developed in the general surgery ward, between March and August, 2017. Inferential statistical analysis performed using Chi-square and Fisher test, considering p-value <0.05 and 95% confidence interval. Results: Of 51 participants, 32 (62.7%) were adults and 19 (37.3%) elderlies. In adults prevailed anxiety (81.3%), fear (50%), risk for infection (43.8%), and risk for delayed surgical recovery (37.5%). In elderlies, anxiety (68.4%), risk for infection (63.2%), impaired comfort (57.9), and risk for delayed surgical recovery (52.6%) prevailed. Anxiety was significant in adults (p=0.028); impaired dentition (p=0.001), and impaired comfort (p = 0.008) in elderlies. Conclusion: specificities of pre-surgical care rarely identified were evidenced, especially related to risk for infection and risk for delayed surgical recovery.

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